The nurse provides care to a client with an external fixator device to stabilize a fractured femur. Which assessment finding concerns the nurse? (Select all that apply.)

A) Pain distal to the injury that is not relieved by opioid analgesics.
B) Paresthesia distal to the area of injury.
C) Reports of pain at pin insertion sites.
D) Edematous and cool toes on affected leg.
E) Weak pedal pulse strength in affected leg.